Individual
RAJMOHAN DHARMARAJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2211 LOMAS BLVD NE, DEPARTMENT OF PEDIATRICS - GASTROENTEROLOGY, ALBUQUERQUE, NM 87106-2719
(505) 272-5551
(505) 272-6845
Mailing address
800 BRADBURY DR SE STE 116, ALBUQUERQUE, NM 87106-4310
(505) 272-1476
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
4301096421
MI
208000000X
Pediatrics Physician
60082
WI
2080P0206X
Pediatric Gastroenterology Physician
Primary
MD2015-0835
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1932413168
—
WI
Enumeration date
07/29/2010
Last updated
02/13/2025
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